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Individual

MR. GREIG J PICKING

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3909 MAIN ST, BRIDGEPORT, CT 06606-2815
(203) 374-9800
(203) 374-9803
Mailing address
130B GROVE ST, CREDENTIALING DEPT, NEW MILFORD, CT 06776-3668
(860) 799-6320
(860) 799-6621

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003517
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004112140
CT
Enumeration date
06/05/2006
Last updated
08/16/2016
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